002429 (ELEC)Building 8 377 Pebble Bmach
Address
Owner
slamrim
TAtyl
�•.,
P.O. BOX 1504 No.. 002429''
0242,
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253 _
Mailing -
Address .75-005 001VMtrV Ch ita Dr.
City Zip Tel.
�+Desert say
Contractor
^tea
City Zip T -el.
State Lic. City
BUILDING:- TYPE CONST. OCC: GRP.- '
A.P..Number
_%$,.2828 Legal Description
Project Description
& Classif. Lic. #
'328
..Arch., Engr:,
Designer
Address Tel.
Sq. Ft. No. No. Dw.
Size- Stories Units
I New & . Add ❑ Alter ❑ Repair ❑ . -Demolition ❑
14 ad;&wfon poAB and'6B
City
Zip
State
Lic. #
•. LICENSED CONTRACTOR'S DECLARATION.
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section ?
7000) of Division 3 of the Business and Professions Code, and'my license is in full force and `
effect.
_SIGNATURE DATE
_ - - _ • - _
OWNER -BUILDER DECLARATION ' .
Estimated Valuation
hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec._ 703.1.5,Business and_Professions Code: Any.city or county which requlres.a •
"permit'to
construct, after,- improve, demolish, or repair any structure, prior.to its issuance also
' ' -
requires the applicant for such permit to file a signed. statement that.,he is.licensed.pursuant.to
�- .-PERMIT. '• -
AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
-
'a-
Division
Division 3 of the Business and Professions Code, or that -Ke is,exempt therefrom, and the basis-
for the alleged exemption. Any Section 7031.5 by any. for
-
-',Plan- Chk. Dep: •
-
-•
violation of applicant a permit
subjects the applicant to a civil penalty of not more than five'hundred dollars ($500)1'. ' ' • •
, .-
Plan.Chk. Bal.
❑ I, as owner of the property, or my.employees with wages as their sole compensation, will.
-- do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and '•-'
Const.
Professions Code: The Contractor's License Law does not. apply to an owner of property, who
`
-
builds or improves thereon and who does such workhimself or. through his own employees,
provided that' such improvements are not,intended or, offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
EIBQtiICdl•
5' •' --i.
of proving. that he did not build or improve for the purpose of sale.) . .
.
_ ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
struet the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property. who builds or .improves thereon; and who contracts for
S: M. 1.
- such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading
- 0 I am exempt under Sec. B. 8 P.C. for this reason • • -
Driveway Enc.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
' I hereby affirm that'I have a'certificate of consent 4o self -Insure; ot'a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
' Policy'No. ` Company
,. .- ❑ Copy is filed with the city. . ❑ Certified copy is hereby furnished. :..
TOTAL0
CERTIFICATE OF EXEMPTION FROM
REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
- - -
• or less.)
• I certify that in the performance of thg work for which this permit is issued,•I shall not
employ any person in any manner so as to become subject to the Workers' Compensation '.•
) '
Laws of California.
Dale "" 'Owner
NOTICE TO APPLICANT. If, after making this Certificate of Exemption you should become
ZONE-
BY*
subject "to the Workers' Compensation provisions of"the LaborCode, you must forthwith
• comply with such provisions or this permit shall be deemed revoked. -
-- "
Minimum Setback Distances: '-
Front Setback ,from Center Line
•
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
"
Side Street Setback from Center Line
Ihereby affirm that there is'a'construction lending agency for the performance of the '
work for which this permit is issued. (Sec. 3097, Civil code.) _
•
Side Setback from Property Line. '
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated; and is subject to
FINAL DATE
INSPECTOR
expiration it work thereunder is suspended for 180 days.+�ar_.a9t
.•
I certify that I have read this application. and state that the above information is correct.
...Issued -by:
Date Permit - -
agree to comply with all city and county ordinances and state laws relating to building.
"
construction, and hereby authorize, representatives sof this city to .enter the, above-.
mentioned property for inspection purposes. '-
Validated by:
Signature of applicant Date
-
Mailing Address
Validation:
City, State, Zip
A5851
b 2.4 8x.00 C�
° _ HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
2ND FL. S0. FT.
POR. SO. FT. ®
GAR. SO. FT. ®
CAR P. SO. FT.
WALL SO. FT. ®
SO F1 ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GAS (ROUGH)
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEOUIP.
LAUNDRY TRAY
AIR HANDLING UNIT CFM
TEMP. POLE
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
SO. FT. ®c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
REMARKS:
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL